DEPARTMENT OF INSURANCE
Affiliations
NameClark, Lawrence ScottDOIID320420NAIC NPN1491547
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentVariable Life and Variable Annuities5/31/2001 1/31/2025
ActiveResidentAgentLife4/1/1992 1/31/2025
ActiveResidentAgentHealth4/1/1992 1/31/2025
ActiveResidentLife Settlement BrokerNot Applicable6/2/2021 1/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent11/15/202401/31/2025   
Life Settlement Broker11/15/202401/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAF&L Insurance Company301582Agent - Health6/2/200312/1/2006
InactiveAll American Life Insurance Company300702Agent - Health12/9/19941/10/2002
InactiveAll American Life Insurance Company300702Agent - Life12/9/19941/10/2002
ActiveAllianz Life Insurance Company of North America301791Agent - Life10/28/2021 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities10/28/2021 
InactiveAmerican Fidelity Assurance Company301004Agent - Health10/12/19941/12/1996
InactiveAmerican Fidelity Assurance Company301004Agent - Life10/12/19941/12/1996
ActiveAmerican General Life Insurance Company301585Agent - Health12/18/2001 
ActiveAmerican General Life Insurance Company301585Agent - Life7/27/2001 
ActiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities12/18/2001 
ActiveAmerican National Insurance Company301861Agent - Life7/28/2021 
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Health7/11/20019/4/2007
ActiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life5/8/2024 
InactiveAmeritas Life Insurance Corporation300126Agent - Health7/29/201912/22/2020
InactiveAmeritas Life Insurance Corporation300126Agent - Life7/29/201912/22/2020
InactiveAmeritas Variable Life Insurance Company300665Agent - Health3/6/19967/18/1997
InactiveAmeritas Variable Life Insurance Company300665Agent - Life6/18/20012/5/2003
InactiveAmeritas Variable Life Insurance Company300665Agent - Variable Life and Variable Annuities6/18/20012/5/2003
InactiveAnnuity Investors Life Insurance Company300715Agent - Life12/26/20013/16/2011
InactiveAnnuity Investors Life Insurance Company300715Agent - Variable Life and Variable Annuities12/26/20013/16/2011
ActiveAssurity Life Insurance Company301099Agent - Health11/6/2017 
ActiveAssurity Life Insurance Company301099Agent - Life11/6/2017 
InactiveAthene Annuity and Life Company301893Agent - Health5/24/20018/4/2006
InactiveAthene Annuity and Life Company301893Agent - Life9/12/20021/25/2005
InactiveAugustar Life Assurance Corporation301113Agent - Health3/18/20038/1/2004
InactiveAugustar Life Assurance Corporation301113Agent - Life3/18/20038/1/2004
InactiveAugustar Life Insurance Company301816Agent - Health3/18/20038/1/2004
InactiveAugustar Life Insurance Company301816Agent - Life3/18/20038/1/2004
ActiveBanner Life Insurance Company301696Agent - Life4/15/2002 
InactiveBoston Mutual Life Insurance Company300143Agent - Health2/22/19999/27/2001
InactiveBoston Mutual Life Insurance Company300143Agent - Life2/22/19999/27/2001
InactiveCigna National Health Insurance Company300235Agent - Health4/1/19923/31/1997
InactiveCigna National Health Insurance Company300235Agent - Life4/1/19923/31/1997
InactiveConseco Health Insurance Company301725Agent - Health8/8/20029/17/2002
InactiveConseco Health Insurance Company301725Agent - Life8/8/20029/17/2002
InactiveConseco Insurance Company301202Agent - Life8/14/200211/29/2004
InactiveEverlake Life Insurance Company300873Agent - Life7/13/19998/17/2009
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities5/31/20018/17/2009
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life1/14/201411/21/2014
InactiveFirst Colony Life Insurance Company301179Agent - Life8/16/20051/1/2007
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health5/24/199912/23/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life5/24/199912/23/2008
ActiveForethought Life Insurance Company301407Agent - Health3/9/2022 
ActiveForethought Life Insurance Company301407Agent - Life3/9/2022 
InactiveGenworth Life Insurance Company300623Agent - Health10/26/200612/14/2016
InactiveGenworth Life Insurance Company300623Agent - Life10/26/200612/14/2016
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health8/25/200912/14/2016
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200712/14/2016
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health7/27/19955/1/1997
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life7/27/19955/1/1997
InactiveLafayette Life Insurance Company (The)301039Agent - Health10/1/20034/26/2005
InactiveLafayette Life Insurance Company (The)301039Agent - Life10/1/20034/26/2005
InactiveLincoln Benefit Life Company301110Agent - Life2/27/19951/14/2004
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities3/31/20011/14/2004
ActiveLincoln National Life Insurance Company (The)301382Agent - Health5/14/2002 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life5/14/2002 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities5/14/2002 
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life12/27/19998/11/2004
InactiveMutual of Omaha Insurance Company301012Agent - Health2/7/200310/17/2005
InactiveNYLIFE Insurance Company of Arizona301642Agent - Health1/19/20006/4/2001
InactiveNYLIFE Insurance Company of Arizona301642Agent - Life1/19/20006/4/2001
InactiveNationwide Life Insurance Company300495Agent - Health2/4/19986/18/2003
InactiveNationwide Life Insurance Company300495Agent - Life2/4/19986/18/2003
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities3/26/20016/18/2003
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health10/19/202012/12/2022
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life10/19/202012/12/2022
InactiveNew York Life Insurance Company300431Agent - Health1/19/20006/4/2001
InactiveNew York Life Insurance Company300431Agent - Life1/19/20006/4/2001
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Health1/19/20006/4/2001
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life1/19/20006/4/2001
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities3/19/20013/24/2003
ActiveNorth American Company for Life and Health Insurance300291Agent - Life10/12/2016 
InactiveOhio State Life Insurance Company (The)300865Agent - Health8/4/19996/24/2002
InactiveOhio State Life Insurance Company (The)300865Agent - Life8/4/19996/24/2002
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health7/16/20013/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life7/16/20013/31/2003
ActivePacific Life Insurance Company301848Agent - Life11/17/2021 
InactivePaul Revere Life Insurance Company300971Agent - Health2/28/200012/11/2002
InactivePaul Revere Life Insurance Company300971Agent - Life2/28/200012/11/2002
InactivePeoples Benefit Life Insurance Company301895Agent - Health8/8/20023/12/2003
InactivePeoples Benefit Life Insurance Company301895Agent - Life8/8/20023/12/2003
ActiveProtective Life Insurance Company300638Agent - Health12/15/2017 
ActiveProtective Life Insurance Company300638Agent - Life12/15/2017 
ActiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities12/15/2017 
InactiveProvident Life and Accident Insurance Company301525Agent - Health2/28/200012/30/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Life2/28/200012/30/2009
InactiveReassure America Life Insurance Company301902Agent - Health1/30/19981/2/2003
InactiveReassure America Life Insurance Company301902Agent - Life1/30/19981/2/2003
InactiveReliaStar Life Insurance Company301712Agent - Health7/23/200110/22/2002
InactiveReliaStar Life Insurance Company301712Agent - Life3/4/20092/3/2017
InactiveReliaStar Life Insurance Company301712Agent - Variable Life and Variable Annuities7/23/200110/22/2002
InactiveSecurity Benefit Life Insurance Company300583Agent - Health7/14/199510/9/2009
InactiveSecurity Benefit Life Insurance Company300583Agent - Life7/14/199510/9/2009
InactiveSecurity Benefit Life Insurance Company300583Agent - Variable Life and Variable Annuities8/27/200110/9/2009
ActiveSecurity Life of Denver Insurance Company300648Agent - Health1/5/2022 
ActiveSecurity Life of Denver Insurance Company300648Agent - Life1/5/2022 
ActiveSecurity Life of Denver Insurance Company300648Agent - Variable Life and Variable Annuities1/5/2022 
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Health8/8/20027/18/2003
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Life8/8/20027/18/2003
InactiveStandard Life and Accident Insurance Company301534Agent - Health6/11/20012/12/2015
InactiveStandard Life and Accident Insurance Company301534Agent - Life6/11/20012/12/2015
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life1/31/20061/1/2009
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities1/31/20061/1/2009
InactiveSurety Life Insurance Company301689Agent - Health2/10/199710/9/2000
InactiveSurety Life Insurance Company301689Agent - Life2/10/199710/9/2000
InactiveSymetra Life Insurance Company301691Agent - Health7/19/19953/31/1997
InactiveSymetra Life Insurance Company301691Agent - Life7/19/19953/31/1997
InactiveTalcott Resolution Life Insurance Company301759Agent - Life12/7/20059/21/2007
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities12/7/20059/21/2007
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life12/7/20059/21/2007
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities12/7/20059/21/2007
ActiveTransamerica Life Insurance Company300571Agent - Health10/24/2012 
ActiveTransamerica Life Insurance Company300571Agent - Life10/24/2012 
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life1/22/200710/1/2008
InactiveTransamerica Premier Life Insurance Company300558Agent - Health10/24/201210/1/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life10/24/201210/1/2020
InactiveU.S. Financial Life Insurance Company301812Agent - Life2/19/20039/26/2007
InactiveUNUM Life Insurance Company of America300817Agent - Health2/28/200012/30/2009
InactiveUNUM Life Insurance Company of America300817Agent - Life2/28/200012/30/2009
InactiveUnion Central Life Insurance Company300307Agent - Health9/27/20042/22/2008
InactiveUnion Central Life Insurance Company300307Agent - Life9/27/20042/22/2008
InactiveUnited American Insurance Company300910Agent - Health6/5/20012/22/2002
InactiveUnited American Insurance Company300910Agent - Life6/5/20012/22/2002
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Health2/8/19945/22/2001
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Life2/8/19945/22/2001
InactiveVenerable Insurance and Annuity Company301006Agent - Life3/4/200910/20/2012
InactiveWest Coast Life Insurance Company301607Agent - Life2/3/200312/8/2008
InactiveWestern National Life Insurance Company300461Agent - Life11/22/200411/5/2007
Inactive300277Agent - Life4/5/200112/10/2004
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAdministrative Information Management Inc.401276Agent - Life4/3/19969/11/2001
InactiveAdministrative Information Management Inc.401276Agent - Health4/3/19969/11/2001
InactiveBlackhorse Enterprises684099Agent - Life7/2/20083/31/2010
ActiveBlackhorse Financial Group400203Agent - Life7/27/2023 
ActiveBlackhorse Financial Group400203Agent - Health7/27/2023 
InactiveT Rowe Price Ins Agency Inc399376Agent - Life7/19/199510/8/2015
InactiveT Rowe Price Ins Agency Inc399376Agent - Health7/19/199510/8/2015
InactiveWorld Financial Group Insurance Agency, LLC400520Agent - Life4/6/20055/5/2006
InactiveWorld Financial Group Insurance Agency, LLC400520Agent - Health4/6/20055/5/2006
InactiveWorld Financial Group Insurance Agency, LLC400520Agent - Variable Life and Variable Annuities4/6/20055/5/2006

© Commonwealth of Kentucky. All rights reserved.